Active NPI
Sandra Cathryn Pitts, LPN
- Licensed Practical Nurse
- Fort Loramie, OH
National Provider Identifier
1962616243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN. 034053
- Practice address
- 19 South Main Street
Fort Loramie, OH 45845-0302 - Phone
- (937) 538-8307
- Fax
- (937) 498-1412
- NPI assigned
- May 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 034053 | OH | Primary |
Addresses
Primary practice location
19 South Main Street
Fort Loramie, OH 45845-0302
Mailing address
19 South Main Street
PO Box 302
Fort Loramie, OH 45845-0302
Phone (937) 538-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2248722 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 034053 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962616243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SOUTH MAIN STREET",
"address_2": "PO BOX 302",
"city": "FORT LORAMIE",
"state": "OH",
"postal_code": "458450302",
"telephone_number": "937-538-8307",
"fax_number": "937-498-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 SOUTH MAIN STREET",
"city": "FORT LORAMIE",
"state": "OH",
"postal_code": "458450302",
"telephone_number": "937-538-8307",
"fax_number": "937-498-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "SANDRA",
"middle_name": "CATHRYN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN. 034053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2248722",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Loramie, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.